Alaska Science Center
Beak Deformity and Banded Bird Observation Report
OMB Control Number 1028-0116
Privacy Act Statement: You are not required to provide your business information in order to submit your survey response. However, if you do not provide contact information, we may not be able to contact you for additional information to verify your responses. If you do provide contact information, this information will not be shared with any other organization and will only be used to initiate follow-up communication with you if needed. The records for this collection will be maintained in the appropriate Privacy Act System of Records identified as SORN Reference (USGS-18 Computer Registration System—Interior).
PAPERWORK REDUCTION ACT STATEMENT: In accordance with the Paperwork Reduction Act (44 U.S.C. 3501), please note the following. This information collection is authorized by The Fish and Wildlife Act of 1956, 16 U.S.C. § 742a. Your response is voluntary. We estimate that it will take approximately 15 minutes to prepare and submit the observation report. An agency may not conduct or sponsor and a person is not required to respond to a collection of information unless it displays a currently valid Office of Management and Budget control number. You may submit comments on any aspect of this information collection, including the accuracy of the estimated burden hours and suggestions to reduce this burden. Send your comments to: Information Collection Clearance Officer, U.S. Geological Survey, 12201 Sunrise Valley Drive, MS 807, Reston, VA 20192, or gs firstname.lastname@example.org.
If you see a bird with a deformed beak, please fill out the form below to report your observation. Be sure to click "submit" at the bottom of the page when you are finished. This information will help us determine where and how many birds are affected. For any additional questions or comments, please email GS-AK_Beak_Deformity@usgs.gov.